Provider Demographics
NPI:1063879807
Name:RAMEZ SULAIMAN MEDICAL PRACTICE PLLC
Entity type:Organization
Organization Name:RAMEZ SULAIMAN MEDICAL PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMEZ
Authorized Official - Middle Name:AHMAD
Authorized Official - Last Name:SULAIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-238-2456
Mailing Address - Street 1:408 77TH ST
Mailing Address - Street 2:SUITE A3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3243
Mailing Address - Country:US
Mailing Address - Phone:718-238-2456
Mailing Address - Fax:718-238-1840
Practice Address - Street 1:408 77TH ST
Practice Address - Street 2:SUITE A3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3243
Practice Address - Country:US
Practice Address - Phone:718-238-2456
Practice Address - Fax:718-238-1840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265709207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty